JULIE TIFFANY
Raymore,Missouri
Summary
Compassionate, highly competent and well-rounded Registered Nurse with 35 years of clinical nursing experience who loves to learn new things. Dedicated to providing high-quality patient care with focus on safety and using evidence-based practices to improve treatment outcomes. Skilled in quickly building connections with patients to build trust and rapport in stressful situations.
Areas of experience include: PACU, Medical, Telemetry, Surgical, Cardiac Step Down, PCU, Case Management, Legal Nurse Consulting, Home Health and Pre Anesthesia Testing.
Overview
35
35
years of professional experience
Work History
Pre Anesthesia Testing Registered Nurse
Mid American Surgery Institute
Overland Park, KS
05.2023 - Current
- Conduct pre-operative patient phone assessments to gather information and provide instructions.
- Manage multiple applications for scheduling, patient database, health history, and education.
- Review patient health histories, medications and ASC exclusion criteria to confirm appropriateness for ASC level of care.
- Consult with ASC Medical Director or Surgeon regarding surgical appropriateness issues and concerns.
- Verify scheduled surgeries, including site accuracy and completeness of pre-admission orders.
- Organize and coordinate elements of patient care to enhance patient and surgeon satisfaction.
- Support and collaborate with team members to accommodate workflow and complete all tasks in the required time frame.
- Utilize critical thinking to resolve issues related to health histories and surgeon orders.
- Lead PAT team to optimize departmental efficiency and ensure thorough chart completion.
- Utilize MS Word and Excel to update staff and patient teaching material and improve charting workflow.
- Collaborate with online database providers to improve appropriateness and efficiency.
- Prioritize and streamline tasks, to best manage time and ensure effective delivery of care.
Operating Room Registered Nurse
Mid-America Surgery Institute
Overland Park, KS
06.2021 - Current
- Perform nursing tasks to deliver high level of care and comply with procedures and regulations.
- Supervise processes and verified patient information to support patient care.
- Observe, check and monitor equipment used during surgery to confirm proper operation.
- Collect, label and process patient specimens carefully and accurately for testing.
- Observe surgical procedures to closely monitor patient and quickly assist physician with potential complications or additional needs.
- Maintain aseptic environment to prevent patient infections or other unwanted outcomes.
- Manage patient flow and directed nurses and doctors to ensure medical assignments are completed on time.
- Deliver exceptional care to patients throughout the entire surgical lifecycle to support positive health outcomes.
Registered Nurse Observation/Float Staff Nurse
Menorah Medical Center
Overland Park , KS
09.2019 - 06.2021
- Part-time employee in the Observation Unit where I received patients directly from PACU to assist in recovery of orthopedic, gastrointestinal, bariatric, urological, gynecological and spine patients, as well as overflow from ER, pain clinic or direct admissions.
- Floated to unit in need when census and staffing required to do so. These units include: Ortho/Neuro/Spine, Rehab, Surgical Specialty Unit, Medical/Telemetry and Clinic Decision Unit.
- Monitored post-op vitals, set up PCA, fluids, review post-op orders and assimilate patients to unit.
- Administered medications, tracked dosages and documented patient conditions.
- Collaborated with interdisciplinary personnel to create, implement and manage patient care plans suiting individual needs and preferences.
- Executed appropriate steps for patient treatment following careful review of physician medical regimen.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Delivered quality patient care from admission to discharge through direct supervision of all nursing and ancillary staff.
Workers' Compensation Case Manager
England & Company Case Management
St. Louis, MO
09.2001 - 08.2020
- Worked for company from August 2001-March 2009, returned to company working part-time/PRN from September 2013-August 2020.
- Liaised between injured workers, hospital staff, employer and insurance carrier to organize treatment and after-care services.
- Reviewed and recorded progress of patients.
- Negotiated and lowered costs while improving care quality by coordinating services and collaborating with dedicated healthcare team.
- Collaborated with different disciplines to provide cohesive care to patients.
- Assisted patients in receiving high-quality, appropriate care with best possible results.
- Reviewed effectiveness of treatment for individual and family situations.
- Documented plans, findings and results and submitted to employers and insurance carriers.
REGISTERED NURSE
Metro Spine Pain Center ASC
Overland Park , KS
10.2015 - 09.2019
- Performed skilled assessment of each patient prior to procedure and identified any risk factors or potential complications based on assessment findings, review of their medical history and lab results.
- Communicated to the physician any identified complications or concerns and proceed as directed by the physician and facility policies and procedures.
- Educated each patient on their procedure and address any concerns or questions, while maintaining a safe and reassuring environment.
- Set up trays, supplies and sterile fields for procedures.
- Responded to any complications during the procedure and administered treatment as directed by the physician and within the nursing process.
- Performed post procedure patient assessment, ensuring safety and adherence to infection control measures.
- Identified acute declines in patient status and utilized critical thinking skills to effectively manage emergencies.
- Educated patient and family of post-procedure instructions, including infection, complications, preventative measures, and medication administration.
- Documented all aspects of patient care according to the policies of the facility.
- Discharged the patient from the facility when all discharge criteria had been met.
- Properly disposed and documented any expired medications or supplies on crash cart, in procedure rooms, at nurse’s station and in supply closet.
- Ordered needed medications and supplies while maintaining cost control measures and expected patient demands.
- Collaborated with all disciplines involved to provide safe, efficient patient care.
- Maintained requirements of BCLS and ACLS.
LEGAL NURSE CONSULTANT
Virtual Legal Nurse Consultants
Kansas City , Missouri
03.2011 - 05.2015
- Part-time position working medical malpractice cases with Brown and Crouppen Law Firm.
- Provided excellent customer service to potential clients telephonically and within the time constraints expected by the law firm.
- Determined validity of a potential medical malpractice case through precise and effective questioning of the potential client and understanding of medical malpractice laws in various states.
- Applied accurate knowledge of Standards of Care to assist in determining causation.
- Reviewed patients reported medical status to determine permanency.
- Provided a concise written summary of pertinent events to the attorney when a case meets criteria required by the law and the law firm.
Registered Nurse, PCU
University of Kansas Medical Center PCU
Kansas City , Kansas
09.2011 - 11.2013
- PRN employee for Observation Unit, then PCU and floated to areas of need as indicated by staffing and census need.
- Acted as patient advocate and implemented total patient care to acutely ill patients.
- Administered highly technical and aggressive treatment to acutely ill patients in compliance with hospital policies and procedures, as well as physician orders.
- Performed initial and ongoing assessment of patients and communicated changes to the physician in an effective and timely manner.
- Utilized the nursing process to plan, perform, delegate and evaluate effectiveness of plan of care.
- Maintained an excellent standard of care per hospital policy through delivery of care, documentation, teaching, and medication administration.
- Ensured care was delivered in a manner that addresses patient satisfaction, comfort and well being.
Registered Nurse Surgical Unit
Truman Medical Center
Kansas City, MO
04.2009 - 10.2011
- Weekend Option Staff Nurse on primarily surgical floor, delivering care to a wide variety of surgical patients, including ENT, GI, Ortho, Trauma and Spine.
- Built relationships with post-surgical patients through compassionate approach and positive attitude.
- Supported successful administration of care plans by communicating with cross-functional teams.
- Attended to patients with surgical drains, nasogastric tubes, ileostomies, colostomy bags, peg tubes and tracheostomy tubes.
- Analyzed patient chart data and identification to verify accurate information.
- Performed venipuncture or PICC line access to collect blood and submitted to lab, as well as start IV's.
- Monitored post op bladder function; aseptically placed urinary catheters following post op bladder retention.
- Reported issues or unusual occurrences to charge personnel to act as patient advocate.
- Administered treatment and medications according to physician orders and per hospital policy.
Medical Case Manager
Case Management Associates
Lenexa, KS
01.1999 - 09.2001
- Communicated with all involved healthcare providers, patient, employer and insurance company to determine individual condition, treatment plan and insurance benefit plan.
- Coordinated care through effective discharge planning and utilization management.
- Authorized healthcare services and negotiate discounts with providers when appropriate.
- Determined, implemented and taught treatment plan and/or options and evaluate ongoing appropriateness and efficiency of the individual treatment plan.
- Reviewed and researched each patient’s medical record to provide a chronological report of care received to date.
- Continually communicated with the physician in person and via phone regarding the patient’s condition, progress and treatment plan.
- Provided ongoing progress reports to inform of medical condition, necessity, cost of treatment and ongoing needs, in addition to cost savings obtained through case management.
Float Pool Nurse
St. Mary’s Hospital
Jefferson City, MO.
01.1997 - 01.1999
- PRN Staff Nurse for the Hospital and Home Health Agency at St. Mary's. Units in hospital included Medical, Surgical, and Telemetry.
- Provided skilled direct nursing care to surgical and medical patients, floating to all areas of hospital based on staffing needs for a given day.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Delivered quality patient care from admission to discharge through direct supervision of all nursing and ancillary staff.
Home Health Case Manager
Lake Ozark Area Home Health, Home Health
Crocker, MO
01.1995 - 01.1997
- Documented services and collected required data for evaluation.
- Counseled patients on ongoing basis to assist with challenges.
- Gathered community resources and coordinated referrals to obtain services.
- Communicated with relatives of patients about diagnoses and treatment programs.
- Provided education and support to patients' family members.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Prepared all required treatment records and reports.
- Collaborated with interdisciplinary team of professionals as well as patients and families to determine appropriate treatment options.
Float Pool Staff Nurse PCU/Medical/Surgical Units
Deaconess West Medical Center
St Louis, MO
11.1991 - 01.1995
- Assessed patients using comprehensive evaluation techniques and sound clinical judgment.
- Developed and implemented individualized care plans to meet each patients' unique needs.
- Treated patients by administering various types of medications and therapies.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Delivered physician-ordered treatments and monitored responses to quickly spot complications and side effects.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
PACU
Christian Northeast Hospital
St. Louis, MO
05.1992 - 10.1993
- Delivered individualized care to post-operative patients in the recovery room by monitoring pain levels, checking vital signs and explaining next steps to recovery.
- Administered medications to manage progression off anesthesia medications, deal with side effects and promote recovery.
- Evaluated patients recovering from surgeries and coming out of anesthesia.
- Evaluated assigned patients to effectively plan, implement and document skilled nursing care.
- Created and maintained facility documents and records, maintaining accuracy while managing sensitive data.
Registered Nurse
Barnes Hospital
St. Louis, MO
05.1990 - 05.1993
- Administered highly technical and aggressive treatment to acutely ill and post operative patients, in compliance with hospital policies and procedures and physician orders.
- Performed initial and ongoing assessment of patients and communicated changes to the physician in an effective and timely manner.
- Utilized the nursing process to plan, perform, delegate and evaluate effectiveness of plan of care.
- Maintained an excellent standard of care per hospital policy through delivery of care, documentation, teaching, medication administration and documentation.
- Ensured care was delivered in a manner that addresses patient satisfaction.
Education
Diploma - Nursing
Barnes Hospital School of Nursing
1990
Timeline
Pre Anesthesia Testing Registered Nurse
Mid American Surgery Institute
05.2023 - Current
Operating Room Registered Nurse
Mid-America Surgery Institute
06.2021 - Current
Registered Nurse Observation/Float Staff Nurse
Menorah Medical Center
09.2019 - 06.2021
REGISTERED NURSE
Metro Spine Pain Center ASC
10.2015 - 09.2019
Registered Nurse, PCU
University of Kansas Medical Center PCU
09.2011 - 11.2013
LEGAL NURSE CONSULTANT
Virtual Legal Nurse Consultants
03.2011 - 05.2015
Registered Nurse Surgical Unit
Truman Medical Center
04.2009 - 10.2011
Workers' Compensation Case Manager
England & Company Case Management
09.2001 - 08.2020
Medical Case Manager
Case Management Associates
01.1999 - 09.2001
Float Pool Nurse
St. Mary’s Hospital
01.1997 - 01.1999
Home Health Case Manager
Lake Ozark Area Home Health, Home Health
01.1995 - 01.1997
PACU
Christian Northeast Hospital
05.1992 - 10.1993
Float Pool Staff Nurse PCU/Medical/Surgical Units
Deaconess West Medical Center
11.1991 - 01.1995
Registered Nurse
Barnes Hospital
05.1990 - 05.1993
Diploma - Nursing
Barnes Hospital School of Nursing
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